| NPI | 1356294185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DISHAWN SUTTON Manager 984-251-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 251B00000X Case Management | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 385H00000X Respite Care | |
| 101YM0800X Counselor, Mental Health | |
| 101Y00000X Counselor | |
| 103TR0400X Psychologist, Rehabilitation | |
| 103TS0200X Psychologist, School | |
| 1041C0700X Social Worker, Clinical | |
| 103T00000X Psychologist | |
| 103TF0000X Psychologist, Family | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| Enumeration Date | 2026-02-19 |
| Last Update Date | 2026-02-19 |